Glendale Area Medical Association, Inc in Coalport - Federally Qualified Health Center (fqhc)

Glendale Area Medical Association, Inc - NPI 1255300596

Glendale Area Medical Association, Inc is a Federally Qualified Health Center (fqhc) in Coalport, Pennsylvania. Glendale Area Medical Association, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Glendale Area Medical Association, Inc is 1255300596. The last update date is 2019-07-17.

Glendale Area Medical Association, Inc's current location address is 850 Main Street, Coalport, Pennsylvania. You can contact this provider via phone number 8146725141 and fax number 8146725461. The mailing address for Glendale Area Medical Association, Inc is 850 Main Street, Coalport, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Glendale Area Medical Association, Inc
Address 850 Main Street, Coalport, Pennsylvania
Phone Number 8146725141
Fax Number 8146725461
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Vinglas Scott
Telephone Number 8146725141

NPI Number Detail

NPI Number 1255300596
Provider Enumeration Date 2006-03-17
Last Updated Date 2019-07-17

Provider Mailing Address Detail

Address 850 Main Street
City Coalport
State Pennsylvania (PA)
Post Code 166270375
Phone Number 8146725141
Fax Number 8146725461

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CA 1965 PA RAILROAD MEDICARE
391822 PA MEDICARE

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FAQs about Glendale Area Medical Association, Inc

What is the unique provider identifier assigned to Glendale Area Medical Association, Inc?

The Glendale Area Medical Association, Inc has been issued the NPI (National Provider Identifier) 1255300596 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Glendale Area Medical Association, Inc is physically located?

The Glendale Area Medical Association, Inc is physically situated at the following address: 850 Main Street, Coalport, PA, 166270375.

What is Glendale Area Medical Association, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Glendale Area Medical Association, Inc is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.

On what date did the Glendale Area Medical Association, Inc receive the assignment of its 1255300596 from the Centers for Medicare & Medicaid Services?

The Glendale Area Medical Association, Inc was issued its 1255300596 by the Centers for Medicare & Medicaid Services on 2006-03-17.

As of what date were the details pertaining to Glendale Area Medical Association, Inc last refreshed?

The information related to the Glendale Area Medical Association, Inc, including its address, specialty, and other relevant details, was last updated on 2019-07-17.

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